using the biopsychosocial model to get evaluating


Grieving Process, Advanced Directive, Grieving, Sexual Alignment

Excerpt coming from Case Study:

Biopsychosocial Evaluation: Morris T. Schwartz

Morris Schwartz, an ex sociology mentor, was clinically diagnosed recently with amyotrophic spectrum of ankle sclerosis (ALS) and provided in the center expressing concern about early morning bouts of atypical anxiety, fear, self-pity, and crying and moping (Albom, 97, p. 56). Mr. Schwartz’s day-to-day medical needs are offered by a palliative care registered nurse in his home and does not have desire to be moved forward into a nursing home or hospice center as he actually reaches the end of his your life. What follows can be described as biopsychosocial analysis of Mr. Schwartz, or perhaps Morrie when he prefers.


Morrie was in his mid-70s when diagnosed with ALS (“Morris S. Schwartz, ” 1995) and was probably previously experiencing lots of the physical indications of aging (Zasrow Kirst-Ashman, 97, p. 546-555). ALS is a progressive neurodegenerative disease with the central nervous system, causing the gradual paralysis in the limb, breathing, and bulbar muscles (Foley, Timonen, Hardiman, 2014). Although 15 and 35% of ALS people will develop frontotemporal dementia or cognitive disability, respectively, Morrie does not have problems with these symptoms. The predicted life expectancy subsequent diagnosis is definitely 2-4 years, but in reality this period is much shorter. The peak age of onset for most ALS patients with the 60s, therefore Morrie created the disease at a more advanced age and can progress at a faster rate.

At the mini level, Morrie can no longer satisfy all of his physiological requires and over period his lack of ability to engage in daily living actions will swiftly decline (Albom, 1997); consequently , he will develop increasingly determined by the veicolo systems with his wife, registered nurse, friends, and also other family members to meet his nourishing, bathing, and other needs. The interventions WIE patient might typically obtain today, based on need, would be the drug riluzole, feeding pipes, and respiratory system assistance devices (Sreedharan Dark brown, 2013). On a macro level, all of Morrie’s physiological requirements are staying met by the U. S i9000. health program. Even though mechanised ventilation support would be offered, Morrie’s advanced directive includes a DNR (do not resuscitate) ought to he eventually be unable to breathe on his own. In case the biological items on the biopsychosocial INTERMED tool were accustomed to evaluate Morrie, he would credit score high on disease chronicity, analysis dilemma, indication severity, impairment, diagnostic/therapeutic problem, complications, and life danger (Mazzocato ain al., 2150; INTERMED Base, 2009).


Morrie can be described as heterosexual Caucasian elderly men, living in a great affluent Northeastern city in the us (Albom, 1997; “Morris T. Schwartz, 1995). On a macro or community level Morrie does not suffer from racial, ethnic, gender, or perhaps sexual-orientation discrimination, but as a great elderly person with ALS ageism and disability might confer a reduced societal status (Zasrow Kirst-Ashman, 1997, s. 576). The low societal position could endanger Morrie’s mental health, although he is apparently adequately buffered by solid mezzo devices with relatives, friends, learners, and former colleagues (Ogden Jackson, 1999).

Morrie’s concern about his morning bouts of melancholy appear to be that, nothing more than the conventional grieving method formulated by Kubler-Ross (Zasrow Kirst-Ashman, 97, p. 590). The relevant stages would be level 2 and 4, yet Morrie put strict period limits in the morning bouts of self-pity (Albom, 1997, p. 56-57). Accordingly, his concerns are generally not sufficiently worrisome to bring about clinical treatment. The primary psychological concerns for ALS sufferers are slight cognitive disability, loss of perception, mental solidity, and dementia (Mitsumoto Rabkin, 2007), although Morrie remains cognitively undamaged and active.

According to Erickson, effective aging requires acceptance of

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